IndividualActive
Tara Cooper, HEALTH COACH
NPI 1407507064 · Nutrition Education Nutritionist · Jacksonville Beach, FL
Provider details
- NPI number
- 1407507064
- Entity type
- Individual
- Primary specialty
- Nutrition Education NutritionistDietary & Nutritional Service Providers
- Credential
- HEALTH COACH
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
3832 Tropical Ter
Jacksonville Beach, FL 32250-3017
Phone: (850) 276-0731
Approximate (ZIP-level) locationGet directions
Mailing address
3832 Tropical Ter
Jacksonville Beach, FL 32250-3017
Registry dates
- Enumerated
- 2022-01-15
- Last updated
- 2022-02-17
- Certified
- 2022-02-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.